@article{ref1,
title="Assessment of impaired self-awareness by cognitive domain after traumatic brain injury",
journal="Rehabilitation psychology",
year="2020",
author="Nagele, Marielle and Vo, Willa P. and Kolessar, Michael and Neaves, Stephanie and Juengst, Shannon B.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: To examine self-awareness in chronic traumatic brain injury (TBI) by cognitive domain, compare domain-specific self-awareness to global impaired  self-awareness, and evaluate change in self-appraisal of cognitive ability from  before to after neuropsychological testing. <br><br>METHOD: Secondary analysis of a  cross-sectional cohort of 59 participants with chronic TBI. We grouped participants  as underestimators, fair estimators, and overestimators of their memory and  executive functioning. We then compared these groups by global self-awareness  measures, other clinical measures, and pre- to-posttest change in self-appraisal of  cognitive performance. <br><br>RESULTS: Analyses revealed no significant differences in  global self-awareness measures or depression between fair or underestimators and  overestimators in Memory or Executive Function Domains. Only 12.50% of participants  in the Memory Composite Domain and 6.89% of participants in the Executive Function  Composite Domain changed their pre- to postneuropsychological test self-appraisal of  cognitive ability. <br><br>CONCLUSION: This study revealed most participants did not change  their self-appraisal in response to completing neuropsychological testing alone. In  conjunction with our findings that suggest global self-awareness measures may not  adequately capture domain-specific self-awareness deficits in chronic TBI, this  study provides support for development of targeted self-awareness assessment tools  and the need for structured feedback, rather than naturalistic feedback alone, to  improve self-awareness in chronic TBI. (PsycInfo Database Record (c) 2020 APA, all  rights reserved).<p /> <p>Language: en</p>",
language="en",
issn="0090-5550",
doi="10.1037/rep0000376",
url="http://dx.doi.org/10.1037/rep0000376"
}